Functional recovery following non-surgical treatment of condylar fractures

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Functional recovery following non-surgical treatment of condylar fractures

Rossuhaimi A Rahman, Ong ST: Functional recovery following non-surgical treatment of condylar fractures. Mal. J. Oral Maxillofac. Surg. 2008; 6: 2–7.

Abstract: The aim of this study was to review and evaluate the functional outcomes following non-surgical treatment of fractured condyles done at the Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, University of Malaya during the period of 1990 to 2002.

A total of 78 patients fulfilled the criteria but only 58 patients had sufficient contact information. All these patients were recalled but only 20 patients (25.6%) came for review and clinical examination.

The most common type of fracture was condylar neck fracture (81%) and the least common was intracapsular fracture. Six patients had bilateral condylar fractures. Condylar fractures were most often associated with mandibular fractures (70%); mainly at the regions of symphysis and parasymphysis (47%). The modes of treatment were conservative functional for undisplaced fractures or fractures without occlusal derangement; and intermaxillary fixation with wires for displaced fractures or if there was occlusal derangement.

At review, all patients had satisfactory occlusal interdigitation. Ten patients reported subjective symptoms which included pain, limitation of mouth opening, jaw deviation and asymmetry. Signs and symptoms were most frequently associated with condylar neck fractures with displacement.

In conclusion, condylar fractures treated non-surgically showed an overall satisfactory outcome. However, the high incidence of persistent signs and symptoms in relation to severely displaced unilateral fractures and bilateral fractures with displacement, there is a need to review the treatment modality and rehabilitation program for these patients.